Individual
REID MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R46319
ND
367500000X
Certified Registered Nurse Anesthetist
Primary
R46319
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2023
Last updated
11/15/2023
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